Julie Ann Gorton

Operations and Sales support included:

Part-time Sales Associate - T.J. MAXX

(2014-08 - 2020-05)

Operations and Sales support included:

• Creating store presentations, ideas and concepts to successfully promote store merchandise.
• Building strong client base through effective sales and promotional marketing.
• Implementing store policies.
• Overseeing daily store operations.

Adjunct Communications Instructor - CHIPPEWA VALLEY TECHNICAL COLLEGE - Eau Claire, WI

(2014-08 - 2014-12)

Instruction focuses upon developing speaking, verbal and nonverbal communication, and listening skills through individual presentations, group activities, and other projects.

Medicare & Retirement Business Detection Mgr. - UNITEDHEALTHCARE - Minnetonka, MN

(2012-11 - 2013-07)

Medicare & Retirement Compliance Manager manages a team responsible for monitoring changes with internal laws and regulations to ensure compliance with State and Federal guidelines, per CMS requirements.

Responsibilities include establishing, mandating and implementing standard policies, procedures and best practices across the company to promote compliance with Centers for Medicare & Medicaid Services applicable laws and contractual obligations. Responsible for conducting state-specific legal research and monitoring changes in requirements to mitigate risks and achieve compliance. Also work with Maximus, AARP, employer groups, providers and other outside vendors to ensure CMS requirements are followed in areas such as Community & State, Employer and Individual, Medicare areas, etc.

• Performing as project manager in all aspects of the Government Program Integrity compliance function.
• Assisting with compliance for national based and state specific fraud, waste and abuse initiatives.
• Developing and leading training and education on compliance related topics.
• Collaborating with other compliance professionals cross-functionally to ensure regulatory and contractual requirements are met.
• Managing a compliance function that monitors compliance with state, local and federal legislation which meets the best business practice standards in health care.
• Investigating identified compliance matters, including corrective action and mitigation.
• Developing and implementing policies, procedures, structures and processes to meet regulatory and contractual requirements.
• Establishing and maintaining a high profile within Government Program Integrity pertaining to compliance, regulatory compliance and ethics.
• Responding to inquiries from state and federal regulators

Pharmaceutical Marketing Manager Consultant - UPSHER-SMITH LABORATORIES, INC.

(2012-02 - 2012-09)

Leading efforts in meeting specific Early Stage Commercialization (ESC) initiatives for various pharmaceuticals through clear positioning strategies, actionable and impactful tactics and comprehensive implementation plans, while working closely with external and internal organizations.

• Supporting best-in-class launches in emerging markets and continually supporting all pharmaceutical partners throughout the process.
• Ensuring full compliance with internal policies and guidelines, as well as meeting legal and regulatory requirements while engaging agencies and Healthcare Professionals.
• Developing, managing and executing email and mobile text messaging for pharmaceutical brand campaigns and ecommerce.
• Establishing marketing channel benchmarks, summarizing key insights, and recommending actions to improve performance of pharmaceutical marketing programs.
• Supporting broader business and portfolio strategies.
• Adhering to annual pharmaceutical marketing channel budget.

Medicare & Retirement Group Operational Readiness Consultant - UNITEDHEALTHCARE - Minnetonka, MN

(2011-09 - 2012-01)

Provided oversight and guidance to Group Retirement Operational Teams to ensure readiness for the Centers for Medicare and Medicaid's (CMS) mandated Annual Open Enrollment (AEP) period.

• Collaborating with Medicare & Retirement Operation areas to review, analyze and oversee policies and procedures to ensure compliance with Centers for Medicare & Medicaid requirements.
• Consulting and coordinating with Medicare Regulatory Reporting Team on regulatory requirements.
• Taking point on special projects related to the operations and administration, for improvement initiatives driven by business needs (e.g., AEP Readiness, speed to market, member impact reduction, etc.).
• Working with internal business SMEs to gather business requirements or reporting requirements.
• Defining and documenting business processes and system processes, as they related to the problems being solved.
• Supporting business partners and end users through issue management and prioritization, resolution, verification, training and communication.
• Recommending and implementing documentation; evaluating and maintaining policies, procedures and controls.
• Monitoring of day-to-day operations and processes.
• Facilitating change management to help empower employees and to coach the operations organization to think in terms of continuous improvement.

Medicare & Retirement Solutions Proposal Writer Consultant - UNITEDHEALTHCARE - Minnetonka, MN

(2011-04 - 2011-09)

Provided business-winning responses for the Medicare & Retirement Solutions sales team to increase company brand and profitability. In this role, I developed, wrote and managed the Requests for Proposals for large employer groups with retiree populations that were impacted by Medicare. Wrote and marketed services such as Medicare Supplements, Medicare Advantage plans, prescription solutions, Senior Supplements, and AARP Medicare Supplemental Insurance plans.

• Conveying complex thoughts, both written and oral, in clear, concise ways that were tailored to the 55+ segment.
• Effectively understanding Response for Proposal (RFP) questions and searching the core databases to find accurate and complete responses.
• Researching customers' needs (through Web sites and other sources) and working with sales teams to develop meaningful and thoughtful questions to extract the necessary case information.
• Understanding network and financial information and bringing those elements into the case writing process.
• Working in a highly matrixed environment and collaborating with sister proposal units to reflect one core value story and to integrate internal processes.
• Maintaining and enhancing business skills, including the understanding of health care industries, managed care trends, healthcare reform, etc. and participating in all relevant training opportunities to improve and expand my current skills.
• Completing all project-related work in a timely, productive manner and meeting all case deadlines.

Sales Associate - THE SHOP AT THE MARSH

(2010-09 - 2011-04)

Operations and Sales support included:

• Creating store presentations, ideas and concepts to successfully promote store merchandise.
• Building strong client base through effective sales and promotional marketing.
• Implementing store policies.
• Overseeing daily store operations.

Consultant Marketing Manager for Credit Unions & Third Parties - SecurePath by Transamerica - St. Paul, MN

(2009-07 - 2009-10)

Hired as a Consultant Marketing Manager to formulate, plan and execute new marketing plans for the Credit Union segment, as well as the Third Party segment. This included the execution of exhibition fairs, product launches, brand partnering, media advertising, etc. Established a periodical review for marketing activities, assessed and evaluated results and gave feedback to higher management team to determine next course of actions.

Small Business Outbound Marketing Specialist Consultant - UNITEDHEALTHCARE - Minnetonka, MN

(2009-03 - 2009-07)

Hired as a Consultant to make outbound calls to the Small Business Broker Community to recruit, provide information, follow-up and generate new leads. Other responsibilities included participating in various outbound and inbound telephone outreach projects as assigned and assisting in the appointment process.

Office Manager Consultant for Healthcare Broker - Affiliated Benefit Group - Minnetonka, MN

(2008-09 - 2008-10)

Hired as a Consultant to maintain broker administrative duties with Blue Cross Blue Shield of Minnesota, UnitedHealth Group, PreferredOne, HealthPartners, especially during small group renewal periods. Key responsibilities included identifying, examining and renewing contracts, small health group business opportunities with President and Owner of brokerage firm.

Part D Project Manager Consultant for Large Group Retirees - OptumHealth - Golden Valley, MN

(2008-01 - 2008-07)

Hired as a Consultant to market new and varied prescription solutions to the Medicare segment, as well as various other segments of the 55+ population. This included working with Legal and Regulatory Affairs, Large Employer Groups, CMS, AARP, various sales departments, and Account Management Teams. One of the main goals of the Medicare Part D marketing, was to keep retirees' aware of their health situations and helping them to join wellness programs to keep utilization down, so that costs wouldn't go up for these employer groups.

• Ensure successful implementation of market strategies leading to gross profit market improvements within the Medicare Part D segments by 30%

CHIPPEWA VALLEY TECHNICAL COLLEGE (2014-08 - 2014-12)